Organization · NPI-2

5 Star Pharmacy LLC

Pharmacy, Community/Retail Pharmacy · Allen, TX

NPI number1073128187
StatusActive
Last updated in NPPESSep 15, 2020

Details

NPI
1073128187
Entity type
Organization (NPI-2)
Legal business name
5 Star Pharmacy LLC
Organization subpart
No
Enumeration date
Sep 15, 2020
Certification date
Sep 15, 2020
Last updated
Sep 15, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy––Yes

Other names

  • 5 Star Pharmacy (Doing Business As)

Practice location

801 S Greenville Ave Ste 105a
Allen, TX 75002-3322

Phone 469-640-1255 · Fax 469-666-9445

Mailing address

801 S Greenville Ave Ste 105a
Allen, TX 75002-3322

Phone 469-640-1255 · Fax 469-666-9445

Authorized official

Misraim Garcia Rosado
Officer
4696401255

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